Individual provider Active NPI

Maddison Smith, LMT

  • Massage Therapist
  • Post Falls, ID
National Provider Identifier
1790652303
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-4849 Issued in ID
Practice address
605 N Shetland CT
Post Falls, ID 83854-5447
Phone
(208) 457-1551
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAS-4849 ID Primary

Addresses

Primary practice location

605 N Shetland CT
Post Falls, ID 83854-5447

Mailing address

2539 E Hanley Ave
Dalton Gardens, ID 83815-9542
Phone (509) 720-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAS-4849IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
G&B PLLC Single Specialty CurrentSince Nov 7, 2025 Accepting new patients
Life Chiropractic Center PA Single Specialty CurrentSince Nov 7, 2025 Accepting new patients

Locations

605 N Shetland Ct
Post Falls, ID 83854
Phone (208) 215-8140

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1790652303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 E HANLEY AVE",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159542",
            "telephone_number": "509-720-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SHETLAND CT",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545447",
            "telephone_number": "208-457-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADDISON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.